Organization
KENMORE FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER LASKOWSKI (OFFICE MANAGE)
(716) 875-6700
Entity
Organization
Contact information
Practice address
2914 ELMWOOD AVE, KENMORE, NY 14217-1332
(716) 875-6700
(716) 875-6853
Mailing address
2914 ELMWOOD AVE, KENMORE, NY 14217-1332
(716) 875-6700
(716) 875-6853
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
848683
NY
Other
Enumeration date
02/10/2016
Last updated
04/11/2016
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